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Advance Directive information provided to client: YES NO Client has previously executed an Advance Directive? YES NO Client Signature OPTIONAL Date.
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How to fill out advance directive information provided

How to fill out advance directive information provided:
01
Start by carefully reviewing the advance directive form provided to you. Read through the instructions and make sure you understand the purpose and legal implications of this document.
02
Gather all necessary personal information, including your full name, address, date of birth, and contact information. It is important to provide accurate details to ensure the advance directive is valid.
03
Identify your healthcare agent or proxy. This person will be responsible for making medical decisions on your behalf if you are unable to do so. Make sure to provide their full name, contact information, and any alternative agents if applicable.
04
Specify your healthcare treatment preferences. This includes indicating your preferences for resuscitation, life-sustaining treatments, and end-of-life care. Be clear and specific about your desires, as this will guide medical professionals in providing the care you want.
05
Consider any specific conditions or scenarios that are relevant to your advance directive. For example, if you have a pre-existing medical condition or specific religious or cultural beliefs that may impact your treatment choices, make sure to include those details accordingly.
06
Choose witnesses to the signing of your advance directive. Depending on the legal requirements in your jurisdiction, you may need one or more witnesses to validate the document. Ensure that the witnesses are adults who have no personal or financial interest in your healthcare decisions.
Who needs advance directive information provided?
01
Individuals of legal age who wish to have their healthcare preferences honored should they become incapacitated or unable to make decisions themselves.
02
People with specific medical conditions or high-risk occupations might find it especially important to communicate their treatment preferences in advance.
03
Anyone who wants to ease the burden on their loved ones and ensure their healthcare decisions align with their personal wishes should have advance directive information provided.
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